2.5.1
Alcohol Screening
Changes from Version 11.0, as noted.
Own e r/Co n ta c t
Dr. Peter Stuart
Na tio n a l Re p o rtin g
NATIONAL (included in IHS Performance Report; not reported to OMB and Congress)
De n o m in a to r
1. GPRA: Female Active Clinical patients ages 15 to 44 years of age.
2. GPRA Developmental: Active Clinical patients ages 12 to 75, broken down by
age groups: 12–19, 20–24, 25–34, 35–44, 45–54, and 55–75
Nu m e ra to rs
1. GPRA Developmental: Patients screened for alcohol use or had an alcohol-
related diagnosis or procedure during the Report Period.
Note: This numerator does not include alcohol-related patient education.
2. Patients with alcohol-related patient education during the Report Period.
3. GPRA Developmental: Patients who were screened positive for alcohol use.
De fin itio n s
Alcohol Screening
Any of the following during the Report Period:
• PCC Exam Code 35
• Any CAGE Health Factor
• Screening Diagnosis V11.3; V79.1, or BHS problem code 29.1
• CPT 99408, 99409, G0396, G0397, H0049, H0050, 3016F
• V Measurement in PCC or BH of AUDT, AUDC, or CRFT
Alcohol-Related Diagnosis or Procedure
Any of the following during the Report Period:
• Alcohol-related diagnosis:
– POV, current PCC or BHS Problem List 303.*, 305.0*, 291.*, 357.5*; – BHS POV 10, 27, 29;
– BHS Problem Codes 10, 12.1, 14.2, 17.1, 18.1, 20.1, or 22.1
• Alcohol-related procedure (V Procedure) 94.46, 94.53, 94.61-94.63, 94.67- 94.69
Alcohol-Related Patient Education
Any of the following during the Report Period:
• Patient education codes containing "AOD-" or "-AOD", "CD-" or "-CD" (old codes), or V11.3, V79.1, 303.*, 305.0*, 291.* 357.5*, 99408, 99409, G0396, G0397, H0049, H0050, or 3016F
Positive Screen for Alcohol Use
Any of the following for patients with alcohol screening:
• Exam Code 35 Alcohol Screening result of “Positive”
• Health factor of CAGE result of 1/4, 2/4, 3/4 or 4/4
• CPT G0396, G0397, 99408, or 99409; or
• AUDT result of =>8, AUDC result of =>4 for men and =>3 for women, CRFT result of 2-6
P a tie n t Lis t Op tio n s
• List of female Active Clinical patients 15–44 with documented screening.
• List of female Active Clinical patients 15–44 without documented screening.
• List of female Active Clinical patients 15–44 with a positive alcohol screen.
• List of female Active Clinical patients 15–44 with a negative alcohol screen.
• List of Active Clinical patients 12–75 with documented alcohol screening.
• List of Active Clinical patients 12–75 without documented alcohol screening.
• List of Active Clinical patients 12–75 with a positive alcohol screen.
• List of Active Clinical patients 12–75 with a negative alcohol screen.
2.5.2
Intimate Partner (Domestic) Violence Screening
No changes from Version 11.0Own e r/Co n ta c t
Denise Grenier, LCSW and Dr. Peter Stuart
Na tio n a l Re p o rtin g
NATIONAL (included in IHS Performance Report; not reported to OMB and Congress)
De n o m in a to r
1. GPRA: Female Active Clinical patients ages 15–40.
No m in a to rs
1. GPRA Developmental: Patients with an IPV/DV exam or IPV/DV-related
diagnosis, procedure, or counseling any time during the Report Period.
Note: This numerator does not include IPV/DV-related patient education.
De fin itio n s
IPV/DV Exam
• PCC Exam Code 34; or
• BHS IPV/DV exam
IPV/DV Related Diagnosis
• POV, Current PCC or BHS Problem List 995.80–83, 995.85 (adult maltreatment), V15.41, V15.42, V15.49 (history of abuse)
• BHS POV 43.*, 44.*
IPV/DV Patient Education
• Patient Education codes containing "DV-" or "-DV", 995.80–83, 995.85, V15.41, V15.42, or V15.49
IPV/DV Counseling
• POV V61.11
P a tie n t Lis t Op tio n s
• List of female patients 15–40 with documented IPV/DV screening.
• List of female patients 15–40 without documented IPV/DV screening.
2.5.3
Depression Screening
Changes from Version 11.0, as noted.
Own e r/Co n ta c t
Denise Grenier, LCSW and Drs. David Sprenger and Peter Stuart
Na tio n a l Re p o rtin g
NATIONAL (included in IHS Performance Report; not reported to OMB and Congress)
De n o m in a to r
1. GPRA: Active Clinical patients ages 18 and older.
2. GPRA Developmental: Active Clinical patients ages 12–18.
Nu m e ra to rs
GPRA Developmental: Patients screened for depression or diagnosed with a mood
De fin itio n s
Depression Screening
Any of the following:
• Exam Code 36
• POV V79.0
• CPT 1220F
• BHS Problem Code 14.1 (screening for depression)
• V Measurement in PCC or BH of PHQ2 or PHQ9
Mood Disorders
At least two visits in PCC or BHS during the Report period with POV for: Major Depressive Disorder, Dysthymic Disorder, Depressive Disorder NOS, Bipolar I or II Disorder, Cyclothymic Disorder, Bipolar Disorder NOS, Mood Disorder Due to a General Medical Condition, Substance-induced Mood Disorder, or Mood Disorder NOS.
– These POV codes are: 296.*, 291.89, 292.84, 293.83, 300.4, 301.13, or 311; or BHS POV 14 or 15
Suicide Ideation
• POV V62.84; or
• BHS Problem Code 39 during the Report Period
P a tie n t Lis t Op tio n s
• List of Active Clinical patients =>18 screened for depression/diagnosed with mood disorder or suicide ideation.
• List of Active Clinical patients =>18 not screened for depression/diagnosed with mood disorder or suicide ideation.
• List of Active Clinical patients 12–18 screened for depression/diagnosed with mood disorder or suicide ideation.
• List of Active Clinical patients 12–18 not screened for depression/diagnosed with mood disorder or suicide ideation.